解答つき精神看護ワークシート

無料で印刷できる精神看護のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

What is lanugo, which may be seen in severe anorexia nervosa?

  1. AThickening of the skin on the knuckles caused by repeated vomiting
  2. BLoss of tooth enamel caused by repeated contact with stomach acid
  3. CFine, soft hair that grows on the body as it tries to conserve heat
  4. DPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
2.やさしい

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

  1. ADefending
  2. BSeeking clarification
  3. COffering self
  4. DReflecting
3.やさしい

Which pattern of decline is typical of vascular dementia?

  1. AStepwise, with sudden worsening after each new vascular event
  2. BComplete recovery within a few weeks
  3. CRapid improvement after starting antipsychotic medicine
  4. DVery gradual and steady from the start, without sudden changes
4.ふつう

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

  1. A"The doctor is very experienced, so you should trust her."
  2. B"Everyone here knows you well, so don't worry."
  3. C"You feel that people here don't really know you?"
  4. D"Why do you think the doctor is wrong about you?"
5.ふつう

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

  1. AThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
  2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
  3. CThese are signs of an allergic reaction, so she should never take lithium again
  4. DThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
6.ふつう

「自殺しない約束（ノースーサイド契約）」が安全対策として推奨されないのはなぜですか？

  1. A長くて複雑すぎて、ほとんどの患者は読めず、署名する患者が少ないため
  2. Bどこでも違法であるため
  3. C自殺を防ぐというエビデンスがなく、偽りの安心感を与えるおそれがあるため
  4. D子どもにしか使えないため
7.むずかしい

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

  1. ASudden-onset Alzheimer's disease
  2. BThe normal effects of ageing
  3. CThe combined anticholinergic effects of her medicines
  4. DA sign that she needs a higher dose of amitriptyline
8.むずかしい

The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?

  1. AAdvise the parents to stop all contact with their son
  2. BFamily psychoeducation and help to communicate with less criticism
  3. CTell the parents that they caused his illness
  4. DDischarge him to live alone in a flat, without any support from his family or the team

解答

  1. 1. C · Fine, soft hair that grows on the body as it tries to conserve heat
  2. 2. A · Defending
  3. 3. A · Stepwise, with sudden worsening after each new vascular event
  4. 4. C · "You feel that people here don't really know you?"
  5. 5. A · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
  6. 6. C · 自殺を防ぐというエビデンスがなく、偽りの安心感を与えるおそれがあるため
  7. 7. C · The combined anticholinergic effects of her medicines
  8. 8. B · Family psychoeducation and help to communicate with less criticism

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